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      Editorial Perspective: On the need for clarity about attachment terminology

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          Abstract

          Part of the appeal of attachment language is that it feels near to our everyday experience, as terms like ‘attachment’, ‘security’ or ‘disorganisation’ feel readily recognisable. Yet, not one of these terms is used by academic attachment researchers in line with ordinary language. This has hindered the evidence‐based use of attachment in practice, the feedback loop from practice to research and the dialogue between attachment researchers in developmental psychology and in social psychology. This paper pinpoints the difficulties arising from the existence of multiple versions of ‘attachment theory’ that use exactly the same terms, held by communities that assume that they are referring to the same thing and with little infrastructure to help them discover otherwise. When we talk past one another, the different communities with a stake in knowledge of attachment are obstructed from genuinely learning from one another, drawing on their respective strengths and pursuing collaborations. One factor contributing to this situation has been the use of attachment terminology with technical meanings, but often without setting out clear definitions. We here introduce a guide to attachment terminology used by the academic community, which has recently been published on the website of the Society for Emotion and Attachm ent Studies. The guide is meant for researchers, clinicians and everyone concerned with attachment to increase understanding of the technical meaning of important terminology used by researchers, and support the quality of discussions between researchers, and between researchers and clinicians and other publics.

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          Most cited references17

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          Cognitive bias modification approaches to anxiety.

          Clinical anxiety disorders and elevated levels of anxiety vulnerability are characterized by cognitive biases, and this processing selectivity has been implicated in theoretical accounts of these conditions. We review research that has sought to evaluate the causal contributions such biases make to anxiety dysfunction and to therapeutically alleviate anxiety using cognitive-bias modification (CBM) procedures. After considering the purpose and nature of CBM methodologies, we show that variants designed to modify selective attention (CBM-A) or interpretation (CBM-I) have proven capable of reducing anxiety vulnerability and ameliorating dysfunctional anxiety. In addition to supporting the causal role of cognitive bias in anxiety vulnerability and dysfunction and illuminating the mechanisms that underpin such bias, the findings suggest that CBM procedures may have therapeutic promise within clinical settings. We discuss key issues within this burgeoning field of research and suggest future directions CBM research should take to maximize its theoretical and applied value.
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            State-of-the-art and future directions for extinction as a translational model for fear and anxiety

            Through advances in both basic and clinical scientific research, Pavlovian fear conditioning and extinction have become an exemplary translational model for understanding and treating anxiety disorders. Discoveries in associative and neurobiological mechanisms underlying extinction have informed techniques for optimizing exposure therapy that enhance the formation of inhibitory associations and their consolidation and retrieval over time and context. Strategies that enhance formation include maximizing prediction-error correction by violating expectancies, deepened extinction, occasional reinforced extinction, attentional control and removal of safety signals/behaviours. Strategies that enhance consolidation include pharmacological agonists of NMDA (i.e. d -cycloserine) and mental rehearsal. Strategies that enhance retrieval include multiple contexts, retrieval cues, and pharmacological blockade of contextual encoding. Stimulus variability and positive affect are posited to influence the formation and the retrieval of inhibitory associations. Inhibitory regulation through affect labelling is considered a complement to extinction. The translational value of extinction will be increased by more investigation of elements central to extinction itself, such as extinction generalization, and interactions with other learning processes, such as instrumental avoidance reward learning, and with other clinically relevant cognitive–emotional processes, such as self-efficacy, threat appraisal and emotion regulation, will add translational value. Moreover, framing fear extinction and related processes within a developmental context will increase their clinical relevance. This article is part of a discussion meeting issue ‘Of mice and mental health: facilitating dialogue between basic and clinical neuroscientists'.
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              Disorganized attachment in infancy: a review of the phenomenon and its implications for clinicians and policy-makers

              ABSTRACT Disorganized/Disoriented (D) attachment has seen widespread interest from policy makers, practitioners, and clinicians in recent years. However, some of this interest seems to have been based on some false assumptions that (1) attachment measures can be used as definitive assessments of the individual in forensic/child protection settings and that disorganized attachment (2) reliably indicates child maltreatment, (3) is a strong predictor of pathology, and (4) represents a fixed or static “trait” of the child, impervious to development or help. This paper summarizes the evidence showing that these four assumptions are false and misleading. The paper reviews what is known about disorganized infant attachment and clarifies the implications of the classification for clinical and welfare practice with children. In particular, the difference between disorganized attachment and attachment disorder is examined, and a strong case is made for the value of attachment theory for supportive work with families and for the development and evaluation of evidence-based caregiving interventions.
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                Author and article information

                Contributors
                m.l.verhage@vu.nl
                Journal
                J Child Psychol Psychiatry
                J Child Psychol Psychiatry
                10.1111/(ISSN)1469-7610
                JCPP
                Journal of Child Psychology and Psychiatry, and Allied Disciplines
                John Wiley and Sons Inc. (Hoboken )
                0021-9630
                1469-7610
                02 August 2022
                May 2023
                : 64
                : 5 ( doiID: 10.1111/jcpp.v64.5 )
                : 839-843
                Affiliations
                [ 1 ] Clinical Child and Family Studies Vrije Universiteit Amsterdam Amsterdam The Netherlands
                [ 2 ] Amsterdam Public Health Research Institute Amsterdam The Netherlands
                [ 3 ] Department of Public Health and Primary Care University of Cambridge Cambridge UK
                [ 4 ] Clinical Psychology KU Leuven Leuven Belgium
                [ 5 ] Centre for Family Research, Department of Psychology University of Cambridge Cambridge UK
                Author notes
                [*] [* ] Correspondence

                Marije L. Verhage, Section of Clinical Child and Family Studies, Vrije Universiteit Amsterdam, Van der Boechorststraat 7, 1081 BT Amsterdam, The Netherlands; Email: m.l.verhage@ 123456vu.nl

                Author information
                https://orcid.org/0000-0001-8207-2283
                https://orcid.org/0000-0001-7846-5762
                https://orcid.org/0000-0003-2023-5328
                https://orcid.org/0000-0001-9057-6027
                https://orcid.org/0000-0003-1847-8443
                Article
                JCPP13675 JCPP-EP-2022-00259.R1
                10.1111/jcpp.13675
                10953320
                35916428
                4bd1fa76-b666-4060-b0f0-8a1eccc833b5
                © 2022 The Authors. Journal of Child Psychology and Psychiatry published by John Wiley & Sons Ltd on behalf of Association for Child and Adolescent Mental Health.

                This is an open access article under the terms of the http://creativecommons.org/licenses/by/4.0/ License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.

                History
                : 14 July 2022
                Page count
                Figures: 0, Tables: 2, Pages: 843, Words: 4066
                Funding
                Funded by: Wellcome Trust , doi 10.13039/100010269;
                Award ID: WT103343MA
                Categories
                Editorial Perspective
                Editorial Perspective
                Custom metadata
                2.0
                May 2023
                Converter:WILEY_ML3GV2_TO_JATSPMC version:6.3.9 mode:remove_FC converted:20.03.2024

                Clinical Psychology & Psychiatry
                attachment,terminology,language,dialogue,confusion
                Clinical Psychology & Psychiatry
                attachment, terminology, language, dialogue, confusion

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